Dr Manucher Khodadad, MD MSE (SURG) is a
Surgery physician based in Winnetka, Illinois. Dr Manucher Khodadad is licensed to practice in Illinois (license number 036-040283) and his current practice location is 627 Sheridan Rd., Winnetka, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 446-6827.
NPI number for Dr Manucher Khodadad is 1194955138 and his current mailing address is 627 Sheridan Rd., Winnetka, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194955138.
Physician's Profile
| Full Name | Dr Manucher Khodadad |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 627 Sheridan Rd., Winnetka, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194955138
- Provider Enumeration Date: 07/24/2009
- Last Update Date: 07/24/2009
Medical Identifiers
Medical identifiers for Dr Manucher Khodadad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194955138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 036-040283 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Manucher Khodadad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Manucher Khodadad, MD MSE (SURG)
627 Sheridan Rd.,
Winnetka, IL 60093
Ph: (847) 446-6827 | Dr Manucher Khodadad, MD MSE (SURG)
627 Sheridan Rd.,
Winnetka, IL 60093
Ph: (847) 446-6827 |
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